ALLIANCE SERVICE ORGANIZATION (NPI# 1720223738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720223738 |
| Entity Type | Organization |
| Organization Name | ALLIANCE SERVICE ORGANIZATION |
| Practice Address |
6100 Western Pl 500 Fort Worth TX 76107-4600 |
| Practice Telephone | 8002761387 |
| Mailing Telephone | 8002761387 |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |
| Authorized Official Name | RANDY BUSBY (AGENT TNPHA) |
| Authorized Official Telephone | 8002761387 |
| Is Organization Subpart | Y |
| Parent Organization Name | TEXAS NON PROFIT HOSPICE ALLIANCE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Street Address |
6100 WESTERN PL 500 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568522019 | Karen Godfrey | Family Medicine | 6100 Western Pl, Suite 105, Fort Worth, TX 76107-4600 | 2006-12-12 |
| 1831699891 | Brian Isaboke | Licensed Vocational Nurse | 6100 Western Pl, Fort Worth, TX 76107-4600 | 2018-02-16 |
| 1063960607 | Natalie Waller Bouffard-lewis | Counselor | 6100 Western Pl, Ste 408, Fort Worth, TX 76107-4600 | 2016-09-12 |
| 1548613052 | Julie Dooling | Counselor | 6100 Western Pl, Suite 908, Fort Worth, TX 76107-4600 | 2016-07-20 |
| 1235583568 | Rochelle Dean | Counselor | 6100 Western Pl, Suite 908, Fort Worth, TX 76107-4600 | 2016-04-23 |
| 1275908162 | Courtney Martin | Psychologist | 6100 Western Pl, Suite 908, Fort Worth, TX 76107-4600 | 2015-12-03 |
| 1104201516 | Jennifer Renee Gautney | Counselor | 6100 Western Pl, Suite 908, Fort Worth, TX 76107 | 2015-07-27 |
| 1053793786 | Rosheen Marguerite Haumann | Counselor | 6100 Western Pl, Suite 408, Fort Worth, TX 76107-4600 | 2015-06-18 |
| 1710225974 | Sheree N. Gallagher | Psychologist | 6100 Western Pl, Suite 540, Fort Worth, TX 76107-4600 | 2013-01-23 |
| 1043596745 | Thomas Richard Birchfield | Counselor | 6100 Western Pl, Ste 408, Fort Worth, TX 76107-4600 | 2011-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487298345 | Baptist Hospice of Texas LLC | Hospice Care, Community Based | 9716 Barksdale Dr, Fort Worth, TX 76244-6024 | 2019-11-04 |
| 1538647052 | Cec Health Agency | Hospice Care, Community Based | 7105 Kickapoo Dr, Fort Worth, TX 76179-4710 | 2018-08-06 |
| 1306351556 | Care Plus Palliative and Hospice Care, LLC | Hospice Care, Community Based | 6940 River Park Cir, Fort Worth, TX 76116-0525 | 2017-12-11 |
| 1841641354 | Sentayehu Gebremeskel I | Hospice Care, Community Based | 4709 Exposition Way, Fort Worth, TX 76244-6094 | 2016-06-27 |
| 1922458231 | Dfw Tender Touch Hospice, LLC | Hospice Care, Community Based | 4804 Grapevine Ter, Fort Worth, TX 76123-2920 | 2016-06-16 |
| 1043673585 | Knights of Comfort Hospice L.L.C. | Hospice Care, Community Based | 10412 Bear Creek Trl, Fort Worth, TX 76244-6515 | 2016-04-01 |
| 1902294150 | Angel Unaware | Hospice Care, Community Based | 6417 Drury Ln, Fort Worth, TX 76116-4403 | 2014-12-22 |
| 1255738928 | Hospice Holdings Dfw LLC | Hospice Care, Community Based | 6300 Ridglea Pl Ste 1107, Fort Worth, TX 76116-5737 | 2014-11-24 |
| 1952722266 | A To Z Palliative and Hospice Care Inc | Hospice Care, Community Based | 4152 Petersburg Dr, Fort Worth, TX 76244-4373 | 2014-01-05 |
| 1861834764 | Infinity Hospice Inc | Hospice Care, Community Based | 5112 Comstock Cir, Fort Worth, TX 76244-6799 | 2013-07-22 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
Please comment or provide details below to improve the information on ALLIANCE SERVICE ORGANIZATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.